Provider Demographics
NPI:1467092684
Name:GULAKOVA, IULIIA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:IULIIA
Middle Name:
Last Name:GULAKOVA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:GULAKOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:86 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1910
Mailing Address - Country:US
Mailing Address - Phone:347-339-6726
Mailing Address - Fax:
Practice Address - Street 1:2069 85TH ST APT 5H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3227
Practice Address - Country:US
Practice Address - Phone:347-339-6726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst